Thomas Eugene Crosslin III, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD20101 Issued in ME

Practice address

4 Glen Cove Dr
Suite 103
Rockport, ME 04856-4235

Phone

(207) 921-5737

Fax

(207) 921-5333

NPI assigned

Jun 9, 2009

Last updated

Feb 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME, NH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

General Surgery

Education

Ohio State University College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Calais Community HospitalGroup PAC ID 0345649158, 7 clinicians

Huggins HospitalGroup PAC ID 4880504927, 27 clinicians

Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Calais Community Hospital Hospital, Calais, ME, CCN 201305
• Huggins Hospital Hospital, Wolfeboro, NH, CCN 301312

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thomas.crosslin.1@8356.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Calais Community Hospital

  • Critical Access Hospital
  • Calais, ME
  • NPI 1922001049
  Medicare reassignment Care Compare group NPD
• Mainegeneral Medical Center

  • General Acute Care Hospital
  • Augusta, ME
  • NPI 1669423380
  Medicare reassignment Care Compare group
• Huggins Hospital

  • Critical Access Hospital
  • Wolfeboro, NH
  • NPI 1366476079
  Medicare reassignment Care Compare group
• Mainehealth

  dba Mainehealth Behavioral Health

  • Psychiatric Hospital
  • Westbrook, ME
  • NPI 1790265502
  Medicare reassignment NPD
• Penobscot Bay Physicians & Associates

  • Multi-Specialty Clinic/Center
  • Rockport, ME
  • NPI 1497799720
  Medicare reassignment NPD
• Calais Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Calais, ME
  • NPI 1376546143
  NPD
• Calais Community Hospital

  dba Baileyville Medical Center

  • Rural Health Clinic/Center
  • Baileyville, ME
  • NPI 1467205112
  NPD
• Mainehealth

  dba MaineHealth Pharmacy Brighton Ave

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181
  NPD
• Mainehealth

  • Gynecologic Oncology Physician
  • Scarborough, ME
  • NPI 1851605455
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Calais Community Hospital

  • Critical Access Hospital
  • Calais, ME
  • NPI 1922001049
  Care Compare affiliation
• Huggins Hospital

  • Critical Access Hospital
  • Wolfeboro, NH
  • NPI 1366476079
  Care Compare affiliation
• Huggins Hospital

  dba Moultonborough Family Medicine

  • Family Medicine Physician
  • Moultonborough, NH
  • NPI 1639166077

  Hospital

  Care Compare affiliation
• Huggins Hospital

  dba Alton Family Medicine

  • Family Medicine Physician
  • Alton, NH
  • NPI 1871534792

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1376779934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR",
            "address_2": "SUITE 103",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564235",
            "telephone_number": "207-921-5737",
            "fax_number": "207-921-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GLEN COVE DR",
            "address_2": "SUITE 103",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564235",
            "telephone_number": "207-921-5737",
            "fax_number": "207-921-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSLIN",
        "first_name": "THOMAS",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "240684",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "MD20101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Corron, DC
• Janice Ruth Corson, OT
• Nancy Coyne, P.T.
• Charles A Crans Jr., M.D.
• Nicole S Crockett
• Katie Marie Cunningham, DDS
• James Arnold Curtis, M.D.
• Tracy Ann Cyr, RDH
• Tiffany Ann Darge, R.D.H
• Danielle S. Deal, APRN-CNP, FNP-C

• Surgery Physician in Rockport, ME
• Providers in Rockport, ME by specialty
• Surgery Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.